Mobilization with Movement (MWM) and Exercise for
Lateral Epicondylalgia

Clinical Prediction Rule

  • Age < 49 years-old
  • Affected side pain-free grip > 112 Newtons (25.2 lbs)
  • Unaffected side pain-free grip < 335 Newtons (75.3 lbs)
  • Change in pain > 25% following Mulligan MWM

Variables Present

Liklihood Ratio

Probability of Success

0
Variables Present

Probability of Success
87%
0
Variables Present

Probability of Success
93%
0+
Variables Present

Probability of Success
100%
Vicenzino B, Smith D, Cleland J, Bisset L. Development of a clinical prediction rule to identify initial responders to mobilisation with movement and exercise for lateral epicondylalgia. Man Ther. 2009 Oct;14(5):550-4.

“This study has developed a Level IV CPR, which by definition should not be immediately taken as the ultimate CPR in guiding clinical practice. That is, the study was not definitive, largely due to its explorative nature as a post hoc analysis of a study powered for other hypotheses.”Vicenzino B, Smith D, Cleland J, Bisset L.
No validation study currently published regarding this clinical prediction rule.
No impact analysis study currently published regarding this clinical prediction rule.